Input/Output Guidelines

References:

  1. HealthLinkBC – Pooping, peeing, and diapering
  2. Sick Kids-About Kids Health – Breastfeeding: How do you know your baby is getting enough milk?


How do I Know if My Infant is Getting Enough Milk?

  • Infant shows desire and wakes up frequently to feed
    • During the first month, your infant should wake up 8-12 times to feed in 24 hours (every hour and a half to 3 hours)
    • Infant should feed for 15-45 minutes with each feed
  • Your infant needs to feed often because their stomach is small
    • When your infant is born, their stomach is about the size of a cherry
    • By the 3rd day of life, their stomach is about the size of a walnut
    • By the 7th day of life, their stomach is about the size of an egg
  • Infant sucks and swallows rhythmically
    • If your infant has an open-pause-close sucking for most of the feed, they are likely getting enough milk
  • Infant has a strong cry, alert periods, and their mouth appears to be wet
  • Infant is growing appropriately
    • Regular increases in their weight, length, and head circumference
  • Regular dirty and wet diapers (explained below)
    • If your infant does not have enough wet or dirty diapers, seek help from a healthcare professional immediately


Expected Infant Bowel Movements (Pooping): 


Days 1-2 of life

Days 3-4 of life

Day 5 - week 3 of life

Beyond week 3 of life

Appearance

-First few stools are meconium

-Thick, sticky, and tar like

-Often black or dark green in colour

-Transitional stools

-Loose consistency

-Brown, green, or yellow in colour

Breastfed:

-Soft, runny, lumpy, or seed like

-Golden-yellow in colour

Breastfed:

-Soft, runny, lumpy, or seed like

-Golden-yellow in colour

Formula fed:

-Pasty consistency

-Pale yellow to light green

Formula fed:

-Pasty consistency

-Pale yellow to light green

Odour

No smell to a mild odour

No smell to a mild odour

Breastfed:

No smell or a mild odour

Breastfed:

No smell or a mild odour

Formula fed:

Strong smell

Formula fed:

Strong smell

Frequency

Should occur at least once or twice per day

Should occur at least 2 or 3 times per day

Breastfed:

Should occur 3 times per day if small or once per day if large

Breastfed:

May occur once every few days to once per week

Formula fed:

Should occur once or twice per day

Formula fed:

May occur every day or two

 

Expected Infant Urination (Peeing):

  • Diapers should get heavier with urine each day


Days 1-3 of life

Days 4-6 of life

Beyond Day 7 of life

Colour

Pale yellow, may have a pink or rusty-orange stain

Pale yellow

Pale yellow

Frequency

Day 1: at least 1 wet diaper per day

Day 2: at least 2 wet diapers per day

Day 3: at least 3 wet diapers per day

Day 4: at least 4 wet diapers per day

Days 5-6: at least 5 wet diapers per day


Should be at least 6 wet diapers per day


Further Your Learning: 

  1. MyHealth.Alberta.ca – Signs that your baby is getting enough breastmilk
  2. Sick Kids-About Kids Heath – Breastfeeding: How do you know your baby is getting enough milk?


Shareable Resource For Clients: 

  1. HealthLinkBC – Pooping, peeing, and diapering